Bonanno, Steven
Bonanno, Steven is an individual health care provider with primary practice located at 241 New State Rd Apt F , Manchester CT 06042-7937. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bonanno, Steven can be contacted via phone (860) 539-6779.Contact Information
Primary practice address
241 New State Rd Apt F
Manchester CT 06042-7937
Phone: (860) 539-6779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8741 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 002823 | Connecticut |
Profile Details
| NPI number | 1093907917 |
|---|---|
| LBN Legal business name | Bonanno, Steven |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Mar 17th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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